Amanda Kroboth, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60686585 Issued in WA

Practice address

16535 110TH Ave SE
Yelm, WA 98597

Phone

(360) 458-6194

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1740735158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FERN ST SW APT 25-101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021127",
            "telephone_number": "484-547-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 110TH AVE SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-458-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16535 110th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "98597",
            "country_code": "US",
            "telephone_number": "360-458-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROBOTH",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60686585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Brandon Kimmel, LICENSED DENTURIST
• Grace King
• Kari Ann Koos, DPT
• Daniel W Kowals, MD
• Isabelle Sofia Kramer, LMT
• Barbarann Gabrielle Kuik, LMFTA, PHD-C
• La Vince Group, P.S Dba
• Laboratory Corporation of America
• Miranda Elaine Lambert, M.S. CCC-SLP
• Benjamin Robert Larsen, PHARM D

• Speech-Language Pathologist in Yelm, WA
• Providers in Yelm, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.